Table 6.
Study | Design | Setting, intervention type | No. of participants | Dementia diagnosed | Dementia stage | Dementia type | Effects on nutrition and/or hydration status | Effects on food, drink or nutrient intake | Quality effect (including QoL or meaningful activity) and other outcomes | Duration |
---|---|---|---|---|---|---|---|---|---|---|
Beck 2010 [67, 96] Denmark | RCT | Nursing home. Multicomponent (nutrition, exercise & oral care) |
I = 62 C = 59 | NR | NR | NR | ↑ BMI ↑ Weight |
→ E intake ↑ Protein intake |
→ Mortality → Cognitive status → Functional status |
11 weeks |
Boffelli 2004 [34] Italy | BA | Dementia unit. Diet & environment modification, feeding assistance and supplements |
29 | Yes | Severe | various | → BMI → weight ↑ albumin → Malnourished |
NR | NR | 18 months |
Keller 2003 [35, 97] Canada | CCT | LTC facilities. Individualised food service, food modification, education and dietetic time |
I = 33 C = 49 |
Yes | NR | AD & others | ↑ Weight | NR | ↑ Dietetic time → Hospital days → Mortality → Infections |
30 months |
Simmons 2001 [36, 98] USA | CCT | Nursing Homes. Staff assistance, prompting, food/drink service and exercise |
I = 48 C = 15 | NR | NR | NR | → Serum osmolality, → BUN: creatinine ratio | → Food & fluid intake | NR | 32 weeks |
For abbreviations see below Table 2